<?php
     @session_start();
    include("template/head.php");
  	//  include("template/menu_left.php");   
?>
    <div class="container-fluid">
        <div class="row-fluid">
                
        <?php include("template/menu_left.php") ?>                
        
        <div class="span10" id="content">
        	 
                
            <div class="row-fluid">
              

            <!-- block -->
                <!--  ************************ ROW ************************  -->
              <div class="span12"> 
              	    
                 <div class="block">
                 	<form id="formAddIntervention" class="form-horizontal" method="POST" action="submit/unite/add_unite.php">
                    <input type="hidden" name="add_unite" value="add_unite" />
                    <div class="navbar navbar-inner block-header">
                        <div class="muted pull-left">Ajouter une nouvelle unité de vente</div>
                        <!-- .toolbar -->
                    </div>   
                    <div class="block-content in" id="div-1">
                    	<br><br>
                    <div class="control-group">  
                            <label class="control-label span2" for="designation">Raison Sociale :</label>
                            <div class="controls">
		 						<input type="text" name="raison" class="validate[required] form-control" placeholder="Raison Sociale" id="form-validation-field-2">	
                            </div>
                    </div>
                    <div class="control-group">  
                        <label class="control-label span2" for="ref_article">Nom :</label>
                          <div class="controls">
                            <input type="text" placeholder="Nom" class="validate[required] form-control" name="name_unite" >
                          </div>
                    </div>
                    
                   <div class="control-group">  
                        <label class="control-label span2" for="ref_article">Prénom :</label>
                          <div class="controls">
                            <input type="text" placeholder="Prénom" class="validate[required] form-control" name="prenom_unite" >
                          </div>
                    </div>
                    
                    
                    <div class="control-group">  
                            <label class="control-label span2" for="designation">Tél :</label>
                            <div class="controls">
                                <input type="text" name="tel" class="form-control" placeholder="Téléphone" id="form-validation-field-2">  	
                            </div>
                    </div>
                    <div class="control-group">  
                            <label class="control-label span2" for="designation">Fax :</label>
                            <div class="controls">
	                            <input type="text" name="fax" class="form-control" placeholder="Fax" id="form-validation-field-2">
                            </div>
                    </div>
                    <div class="control-group">  
                            <label class="control-label span2" for="designation">E-mail :</label>
                            <div class="controls">
                            	<input type="text" name="email" class="form-control" placeholder="Adresse email" id="form-validation-field-2">
                            </div>
                    </div>

                    <div class="control-group">  
                        <label class="control-label span2" for="ref_article">Observation :</label>
                          <div class="controls">
                            <textarea id="comment" name="description" placeholder="Observation" class="form-control span8"></textarea>
                          </div>
                    </div>      
                     <!-- /.control-group -->
                    </div>
                    </div>
                    <input class="span3 btn btn-primary" type="submit" value="Ajouter" style="margin-bottom:1em; float: right;">
                   </form>
              </div>
              
            <!--  ************************ / ROW ************************  -->
            <!-- block -->
               
                    
              
          
          
          </div>
            <hr>
        </div>
<?php  include("template/footer_form.php") ; ?>